How to reduce blood sugar in gestational diabetes

Written by Chen Xie
Endocrinology
Updated on September 22, 2024
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Gestational diabetes cannot be treated with oral medications, as they can affect the fetus. Currently, the main treatment for gestational diabetes in China is insulin, with options for short-acting or rapid-acting insulin. If fasting blood glucose is high, long-acting insulin can be used to control fasting blood glucose levels. If post-meal blood glucose is high, short-acting or rapid-acting insulin can be used to control post-meal blood glucose levels. The blood glucose control standards for gestational diabetes are fasting blood glucose between 4.0 and 5.3, and two hours post-meal blood glucose between 4.4 and 6.7.

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Written by Liu Wen Li
Obstetrics
42sec home-news-image

How to treat gestational diabetes?

The treatment principle for gestational diabetes is to control blood sugar and then ensure the normal development of the child. There are many methods to control blood sugar. First, it involves diet management guided by a doctor, adjusting the diet's structure and quantity, followed by post-meal exercise. If after a week of adjusted diet and post-meal exercise, blood sugar levels still do not meet the standards, insulin injections can be used to keep the pregnant woman's blood sugar within the prescribed range. This can help reduce the impact of diabetes on the fetus and the pregnant woman.

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Written by Tang Zhuo
Endocrinology
1min 10sec home-news-image

How to control gestational diabetes

Gestational diabetes refers to the onset of diabetes during pregnancy, or the first detection of varying degrees of hyperglycemia, including glucose intolerance and diabetes that were not identified before pregnancy. The risks of gestational diabetes are more severe in patients with serious conditions or poor blood sugar control, as it can easily lead to miscarriage and preterm birth, infections, and in severe cases, ketoacidosis. So, how can gestational diabetes be controlled? It can be managed through dietary control and insulin treatment. Dietary control is crucial; the ideal dietary management aims to ensure and meet the caloric and nutritional needs during pregnancy while preventing hyperglycemia or ketosis due to starvation, ensuring normal fetal growth and development. For cases where dietary management is insufficient to control diabetes, insulin is the primary medication. (Please seek professional medical guidance before using any medication, and do not self-medicate.)

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Written by Zhang Yin Xing
Obstetrics
1min 30sec home-news-image

Can pregnant women with gestational diabetes eat grapes?

Fruits are natural vitamins, and consuming fruits appropriately during pregnancy is extremely significant for supplementing vitamins, which can promote fetal growth. Patients with gestational diabetes are not entirely forbidden from eating fruits; however, it's essential to control the intake of fruits, ideally between 100 to 150 grams per day. Grapes are not completely off-limits, but since grapes have a high sugar content, if consumed, the quantity should be controlled to avoid eating too much. Opting for fruits like kiwis and apples, which have lower sugar content, is a better choice for those with gestational diabetes during pregnancy. Gestational diabetes can affect both the pregnant woman and the fetus. For the pregnant woman, it can increase the rate of miscarriages and is likely to complicate with gestational hypertension. Lowered immunity can lead to infections, particularly urinary and reproductive system infections, may cause excessive amniotic fluid, and increase the likelihood of difficult labor due to a larger baby. The impact on the fetus can lead to congenital disabilities, a significantly large baby, or restricted fetal growth, so it is crucial to control blood sugar levels during pregnancy. While ensuring the pregnant woman is not hungry, insulin can be used when necessary to maintain stable blood sugar levels during pregnancy.

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Written by Luo Juan
Endocrinology
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How long does it take to recover from gestational diabetes after childbirth?

For the vast majority of pregnant women with gestational diabetes, their fasting blood glucose or glucose tolerance test can return to normal within six weeks after delivery. However, the recurrence rate of gestational diabetes during subsequent pregnancies is 50%, and about 25% to 70% of those with gestational diabetes may develop diabetes again within 16 to 25 years after giving birth. For those whose blood sugar levels return to normal after childbirth, it is also advisable to check their blood sugar every three years. For patients with abnormal fasting blood glucose or reduced glucose tolerance after childbirth, an annual check should be conducted to screen for diabetes, and they should receive strict dietary treatment and individualized exercise therapy. Therefore, the recovery time for postpartum gestational diabetes depends on the circumstances.

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Written by Chen Xie
Endocrinology
49sec home-news-image

How to reduce blood sugar in gestational diabetes

Gestational diabetes cannot be treated with oral medications, as they can affect the fetus. Currently, the main treatment for gestational diabetes in China is insulin, with options for short-acting or rapid-acting insulin. If fasting blood glucose is high, long-acting insulin can be used to control fasting blood glucose levels. If post-meal blood glucose is high, short-acting or rapid-acting insulin can be used to control post-meal blood glucose levels. The blood glucose control standards for gestational diabetes are fasting blood glucose between 4.0 and 5.3, and two hours post-meal blood glucose between 4.4 and 6.7.